Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.42 / $6,024.00 / $11,627.00	Facility		$1,124.42	$6,024.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.42 / $1,138.13 / $2,945.98	Professional		$1,124.42	$1,138.13	$2,945.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.13 / $1,312.44 / $2,321.04	Professional		$858.13	$1,312.44	$2,321.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.41 / $981.41 / $1,429.05	Facility		$981.41	$981.41	$1,429.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.38 / $1,058.38 / $1,314.15	Professional		$1,058.38	$1,058.38	$1,314.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.42 / $1,466.39 / $2,027.49	Professional		$958.42	$1,466.39	$2,027.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.27 / $1,476.92 / $2,118.08	Professional		$1,010.27	$1,476.92	$2,118.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $883.57 / $1,350.18	Professional		$75.93	$883.57	$1,350.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.61 / $1,331.25 / $2,127.00	Professional		$1,026.61	$1,331.25	$2,127.00